Individual
MS. JAQUISHA C KEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(240) 432-1562
Mailing address
600 WASHINGTON ST APT 1307, PORTSMOUTH, VA 23704-3548
(240) 432-1562
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC5181
MD
Other
Enumeration date
02/05/2013
Last updated
10/14/2022
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